RFID pilot in Japan using SGTIN ~ from factory to bedside · 2015-04-20 · RFID pilot in Japan using SGTIN ~ from factory to bedside ~ Granted by Ministry of Economy, Trade and Industry

RFID pilot in Japan using SGTIN~ from factory to bedside ~

Granted by

Ministry of Economy, Trade and Industry (METI)

Proprietary & Confidential

Masanori Akiyama MD, PhD

Sloan School of Management, Massach

Tokyo Medical University, Tokyo, Japan

GS1 Healthcare Conference, Toronto, Canada, 18 June 2008

Supported with GS1 Japan

Ministry of Health, Labor and Welfare (MHLW)

RFID pilot in Japan using SGTIN

Ministry of Economy, Trade and Industry (METI)

© 2007 MIT Center for Digital Business. All rights Reserved.

chusetts Institute of Technology, MA, USA

Tokyo Medical University, Tokyo, Japan

GS1 Healthcare Conference, Toronto, Canada, 18 June 2008

Ministry of Health, Labor and Welfare (MHLW)

The concept of the Hospital IT system in Japan is

� POAS: Real-time Consumption Data Capturing System

•Collects, manages, and uses consumption data at the point of consumption (e.g. Hospital bedside)

–In the form of When, Where, Who, to Whom, Why, What, How (6W’s, 1H)

•The first application is hospital

2 Proprietary & Confidential

•The first application is hospital

–International Medical Center of Japan (since 2002)

•Current technology is PDA/bar code, and RFID technologies are in processing.

•We have a feasibility study with RFID tag in 2008.

The concept of the Hospital IT system in Japan is

time Consumption Data Capturing System

Collects, manages, and uses consumption data at the point of consumption (e.g. Hospital bedside)

In the form of When, Where, Who, to Whom, Why,

The first application is hospital


The first application is hospital

International Medical Center of Japan (since 2002)

Current technology is PDA/bar code, and RFID technologies are in processing.

We have a feasibility study with RFID tag in 2008.

What can POAS do?

� By collecting data from wireless PDAs, examination room terminals, and laboratory equipment, POAS can:

•Record medical actions in detail, everywhere

•Assist practicing medical treatment to patients

•Monitor patient symptoms continuously


•Monitor patient symptoms continuously

•Comprehend logistical data by the “minimum unit”

→ In real-time.

�Useful for automatic single size item identification

�UDI: Unique Device Identification (US FDA)

By collecting data from wireless PDAs, examination room terminals, and laboratory equipment, POAS can:

Record medical actions in detail, everywhere

Assist practicing medical treatment to patients

Monitor patient symptoms continuously


Monitor patient symptoms continuously

Comprehend logistical data by the “minimum unit”

Useful for automatic single size item identification

UDI: Unique Device Identification (US FDA)

Injection operations from the perspective of medical safety

Physician

Enter prescription

Change the prescription if you

see these exam results!

The speed and accuracy at which the changes are reflected

is important.


Cancel - change

results! is important.

●●An interAn inter--divisional safety system is neededdivisional safety system is needed

●●A system is needed that reflects changes and cancellations A system is needed that reflects changes and cancellations in the information given to medical staff within a timeframe of 2 in the information given to medical staff within a timeframe of 2 seconds.seconds.

Injection operations from the perspective of medical safety

Pharmacy

WardMixing

The speed and accuracy at which the changes are reflected

is important.


Administer drugs

is important.

divisional safety system is neededdivisional safety system is needed..A system is needed that reflects changes and cancellations A system is needed that reflects changes and cancellations

in the information given to medical staff within a timeframe of 2 in the information given to medical staff within a timeframe of 2

Digitalization of this section was

achieved with Single Item

managementas POAS.

Injection prescription

Rp1) 5% glucose 500 ml

Rp2) Saline500 ml

Rp3) Saline100 ml

Order

Act1

Task:5W1H

Management of the number of items

Conventional system ID: GTINPOAS system ID: GTIN + serial number


Rp3) Saline100 mlTask:5W1H

Act2

Task:5W1H

Act3

Task:5W1H

Data unit = Invoice (payment) unit


11/1 to 11/3Rp1) 5% glucose 500 ml


11/1

Rp1) 5% glucose 500 mlVitamedin 1A morning

Rp2) Saline500 mlK2 1A evening

Rp3) Saline100 ml

Injection prescription11/2Rp1) 5% glucose 500 ml

Vitamedin 1A morningRp2) Saline500 ml

Data granularity

Injection prescription11/3Rp1) 5% glucose 500 ml

Vitamedin 1A morning

Individual (ID) management

Conventional system ID: GTINPOAS system ID: GTIN + serial number


Rp1) 5% glucose 500 mlVitamedin 1A morning


Rp3) Saline100 mlPansporin 1 g

Morning and evening


Morning and evening



Morning and evening

Data unit = Invoice (payment) unit

Vitamedin 1A morningRp2) Saline500 ml

K2 1A eveningRp3) Saline100 ml

Pansporin 1 g

Morning and evening

Data unit = People’s actions (changes) single item based

X

Automatically acquired information : Digitize

Ord

er

Pu

rch

ase

Inven

tory

Injection order

Rp

Prin

ting

Pic

kin

g

warehouse Pharmacy


Ord

er

Pu

rch

ase

Inven

tory

Rp

Prin

ting

Pic

kin

gConsumption point of conventional electronic m

edical charts

Consumption point of conventional systems used by the

Pharmaceutical Division

most dangerous.unnecessary costs.

Automatically acquired information : Digitize

Pic

kin

g

Au

dit

Mix

ing

Inje

ctio

n / S

ho

t

発注

Acco

un

ting

Change orderPharmacy ward


Pic

kin

g

Au

dit

Mix

ing

Inje

ctio

n / S

ho

t

注A

cco

un

ting

Retu

rnConsumption point of co

nventional systems used by the Pharmaceutical Division

Wa

ste

POAS

consumption point

OptimizeOptimize

Explanation of type

Prin

t

Au

dit

Mix

ing

Ord

er


Cancel and

Inje

ctio

nNormal Type 1


Wasted

Returned

and change

Type 2

Type 3

Cancel data 4/01/2004 – 3/31/2005

10.029.75 Cancel rate(%)

102,127108,535,086Cancel

1,019,2291,113,386,619Normality

NumberCostType

10.02Cancel

rate(%)

102,127108,535,086 Cancel Type2

1,019,2291,113,386,619Normality

NumberCost (Yen)Type


10.029.75 rate(%)

About the unit priceNormal: I calculate by an actual unit price by the inventory. Cancel: Because drawing is released and it is drawn by other paa real unit price is uncertain. Therefore, the agreement unit pr

About the divisionNormality: After the medicine is mixed, discontinuance ( for thabandonment ) is contained. Discontinuancis mixed, and returned.

It was uselessly abandoned this amount if there was no confirmation before mixing the medicine.

10.02rate(%)

About the unit priceNormal: I calculate by an actual unit price by the inventory. Cancel: Because drawing is released and it is drawn by other paa real unit price is uncertain. Therefore, the agreement unit pr

About the divisionNormality: After the medicine is mixed, discontinuance ( for thabandonment ) is contained. Discontinuancis mixed, and returned.

It was uselessly abandoned this amount if there was no confirmation before mixing the medicine.

cost saved : $1M / year

3/31/2005

10.689.9410.02

35,95955,289102,127

336,682556,2831,019,229

The number of injection and shotRp numbersNumber

10.689.9410.02

35,95955,289102,127

336,682556,2831,019,229

The number of injection and shotRp numbersNumber


10.689.9410.02

Normal: I calculate by an actual unit price by the inventory. Cancel: Because drawing is released and it is drawn by other patients after returned goods unsold, a real unit price is uncertain. Therefore, the agreement unit price of a period concerned and the trial.

About the divisionNormality: After the medicine is mixed, discontinuance ( for the abandonment ) is contained.

ance: Medicine that was discontinued before medicine is mixed, and returned.

10.689.9410.02

Normal: I calculate by an actual unit price by the inventory. Cancel: Because drawing is released and it is drawn by other patients after returned goods unsold, a real unit price is uncertain. Therefore, the agreement unit price of a period concerned and the trial.

About the divisionNormality: After the medicine is mixed, discontinuance ( for the abandonment ) is contained.

ance: Medicine that was discontinued before medicine is mixed, and returned.

IT can be improved hospital management.

� Prevent medical accidents.

� Thorough inventory management

� Keywords are “realreal--timetime entry” and “


� The accurate acquisition of information on bedside actions is crucial.

� Acquire cancellation and change data.

• Only about 60% can be acquired in conventional systems.

• POAS gives an overall picture.

• POAS can save 4 million dollar per yearsave 4 million dollar per year

� This improves medical safetysafety and management efficiencymanagement efficiency

IT can be improved hospital management.

entry” and “serializationserialization for single item management.”


The accurate acquisition of information on bedside actions is crucial.

Acquire cancellation and change data.

Only about 60% can be acquired in conventional systems.

POAS gives an overall picture.

save 4 million dollar per yearsave 4 million dollar per year.

management efficiencymanagement efficiency.

GS1: Product Identification through the Supply ChainGS1: Product Identification through the Supply Chain

PHYSICAL ITEMS & DATA FLOWPHYSICAL ITEMS & DATA FLOW

Mfg Item Case Pallets Trucks Distributor Trucks Pallets Case Item Store UserMfg Item Case Pallets Trucks Distributor Trucks Pallets Case Item Store User

212345 6789072

Supplier

2123456789072

Granularity of shippingGranularity of single item

Automatic granularity exchange


Item data , sales catalog, ship notice, invoice

request for quotation, planning schedule, POSElectronic Commerce Information Flow

RSS / RFID GS1GS1-128

GTIN / Serial ID GTIN SSCC

single item

GS1: Product Identification through the Supply ChainGS1: Product Identification through the Supply Chain

PHYSICAL ITEMS & DATA FLOWPHYSICAL ITEMS & DATA FLOW

Mfg Item Case Pallets Trucks Distributor Trucks Pallets Case Item Store UserMfg Item Case Pallets Trucks Distributor Trucks Pallets Case Item Store User

End User

212345 6789072

2123456789072

Granularity of shipping Granularity of single item

Automatic granularity exchange


request for quotation, planning schedule, POSElectronic Commerce Information Flow

GS1-128 RSS / RFIDGS1-128

SSCC GTIN GTIN / Serial ID

single item

1. Track & Trace for Patient Safety

2. To improve SCM in Healthcare Field

3. To reduce CO2

Objectives


3. To reduce CO2

1. Track & Trace for Patient Safety

2. To improve SCM in Healthcare Field


Year 2007

Month October November December

Days 1-14 15-31 1-14 15-30 1-14

Event

*Kickoff

*Steering Committee

*Steering Committee

Timeframe of the Pilot Study


SystemDevelopment

Field Practice

ResearchingIn EU/US

Reporting

2008

December January February March

14 15-31 1-14 15-31 1-14 15-29 1-14 15-31

Steering Committee

*Steering Committee

*Steering Committee

*closing

Timeframe of the Pilot Study


1. 1st Project scoped from the Source Marking

to Bed-Sides

2. 1st Project adopting GS1 Standards in Japan

(SGTIN/GLN)

Facts of the Pilot Study


3. SGTIN (GTIN + Serialized Number) on RFID

Items of Medical Supply

Drugs

Medical

Materialsinjection drugs

Project scoped from the Source Marking

Project adopting GS1 Standards in Japan

Facts of the Pilot Study


SGTIN (GTIN + Serialized Number) on RFID

Items of Medical Supply

Drugs

Medical

Devices

Instrumentsinjection drugs

WholesalerPharmaceutical

Manufacture

Ma

terial in

Pro

du

ction

Sto

ck o

n H

an

d

Sto

ck o

ut

Sto

ck in

Sto

ck o

n H

an

d

Pro

du

ct

Life cy

cle

Outside of hospitals

Business Process of the Pilot Study


Ma

terial in

Pro

du

ction

Sto

ck o

n H

an

d

Sto

ck o

ut

Sto

ck in

Sto

ck o

n H

an

d

Un

it of P

ack

age

Pro

du

ct

Life cy

cle

Out of Scope

荷荷荷荷Retu

rn

Retu

rn

Scope of the past pilot studies(2004

Hospital

Sto

ck O

ut

Sto

ck in

Sto

ck o

n H

an

d

Co

nsu

mp

tion

Inside of Hospital

Business Process of the Pilot Study


Sto

ck O

ut

Sto

ck in

Sto

ck o

n H

an

d

Co

nsu

mp

tion

disp

ense

Au

dit

Sh

ip to

wa

rd

Accep

tan

ce

at w

ard

Mix

ing

injectio

n

Ord

er

Unit of Sales Unit of use

返返返返品品品品出出出出荷荷荷荷返返返返品品品品入入入入荷荷荷荷 Retu

rn

Retu

rnUnit of Use

Scope of the past pilot studies(2004-2006)

Scope of the current pilot study(2007)

Scenario Overview

Pharmacy

Wholesalers Orders

Query

Query

Manufactures

Query

Public

Organization


In Scope

Stock o

n hand

Stock-in

Return

Ship-out

Return Return

Ru Ru

Rh

【【【【Process】】】】

【【【【Process

】】】】

Out of Scope

Dispe

nse

Stock o

n hand

【【【【Process】】】】Process to be

transferred to Common

Trace Database

Prescript

ion

RhRh

Alarm Point

Hospital

Ward(Nursing)

Doctors

Change

Orders

Change

Orders

Public

OrganizationQuery


Ship-

in

Return

Patien

ts

UHF Tag Access by Reader

Audit InjectionMixing

Ship-

out

Disposal

Rh Rh

Rh

Ph

Ru

HF Tag Access by ReaderRh

HF Tag Access by PDAPhProcess to be

transferred to Common

Trace Database

System Overview

Public Org.

Middleware

Central Trace Server


Pharmaceutical

Manufactures RFID

Local SystemLocal Trace

Server

Out o

f Pro

ject S

cope

Requester

(Authority, Hospitals, Pharma)

Query System with Web-Browser

Middleware


Whole Sellers Hospitals

Local Trace

ServerLocal System Local Trace

Server

RFID

Whole

saller

Supplier

Feasibility study on medical field in Japan

Factory to supplier

SCM

製薬企業

製薬

factory

運送

トラック

Out of studyOut of studyOut of studyOut of study

Lot No Product ID Drug code ・・・100000 A1111 76532S

Track/trace（EPCIS）

HIS

Dr

order

Ph

pharmacy

In-Hospital

100000 A1112 76532S

100000 A1113 76532S

100000 A1114 76532S

Drug ID

A1111

A1112

A1113

A1114

Internet

Whole

saller病院

truck Hospital

ダミートラック

Supplier

Feasibility study on medical field in Japan

RFIDtag UHF

SCM

Product ID Status Date/time ・・・・A1111 入庫In 200708170900

A1111 倉庫 200708171000

A1111 出庫 200708171500

A1112 入庫 200708170900

Ns Patient

prepare

Ph/Ns

Audit Injection

RFIDtag HF

Status Date/time ・・・・患者A 200708172210病棟A 200708172210薬剤部 200708172210薬剤部 200708172210

OKOKOKOK Questionable NGNG

NGNG

Questionable

OKOK

OKOK

NGNG

OKOK

OKOK

OKOKOKOK

OKOK

OKOK

NGNGQuestionableQuestionable

Un-digitized space

4G: Ubiquitous medical information system

3G: EPR : paperless electronic medical charts

The evolution of hospital information systems

1G: Billing and Lab test : medical affairs and specimen exams

2G: CPOE : ordering


Un-digitized space

Bedside, ER (emergency), (OR) operating room and ICU*verbal communication

Digitized spaceEHR

Department systems

We need standardized UDI !

tems for most dangerous / high costs areas

3G: EPR : paperless electronic medical charts

The evolution of hospital information systems

1G: Billing and Lab test : medical affairs and specimen exams


Bedside, ER (emergency), (OR) operating room and ICUverbal communication *high risk, and high cost

Department systems

Outpatient / nurse station POES

Billing

Medical affairs section / Exam section

We need standardized UDI !

Conclusion

� important to manage the verbal communication in Bedside, ER (emergency), (OR) operating room and ICU

� Single item management with unique serialized number

Not only cost saving but also Patient safety


References:

M Akiyama. Risk Management and Measuring Productivity with POAS A Medical Information System as ERP (Enterprise Resource Planning) for Hospital Management. Methods Inf Med. 2007;46(6):686-93.

Akiyama M, Kondo T.Risk management and measuring productivity with POASMedinfo. 2007;12(Pt 1):208-12.

important to manage the verbal communication in Bedside, ER (emergency), (OR) operating room and ICU

Single item management with unique serialized number

Not only cost saving but also Patient safety ---


Risk Management and Measuring Productivity with POAS - Point of Act System. A Medical Information System as ERP (Enterprise Resource Planning) for Hospital

Risk management and measuring productivity with POAS--point of act system.

Thank you for your attention.Any Questions?

� Think !

� What kind of system do you want, if your son or daughter were a

EE--mail: [email protected]: [email protected]


What kind of system do you want, if your son or daughter were a patient?

mail: [email protected]: [email protected]


Documents

RFID pilot in Japan using SGTIN ~ from factory to bedside · 2015-04-20 · RFID pilot in Japan using SGTIN ~ from factory to bedside ~ Granted by Ministry of Economy, Trade and Industry